Healthcare Provider Details

I. General information

NPI: 1972355949
Provider Name (Legal Business Name): TIARA JEMET JOSEPH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIARA JEMET JOSEPH MA, LPC

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3735 EASTON NAZARETH HWY STE 102
EASTON PA
18045-8345
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 610-443-0464
  • Fax: 610-443-0787
Mailing address:
  • Phone: 484-884-4500
  • Fax: 484-884-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC016334
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: